摘要
目的 分析半夏白术天麻汤联合针灸治疗脑卒中风痰阻络证的效果。方法 选取2022年1—12月广东佛山健翔护理医院中医康复科收治的60例脑卒中患者(风痰阻络证)作为研究对象,以随机抽签分组,对照组30例采取常规治疗,观察组30例联合半夏白术天麻汤及针灸治疗。对比疗效。结果 治疗后观察组美国国立卫生研究院卒中量表评分(9.0±2.2)分较低于对照组(12.7±2.6)分,差异有统计学意义(t=5.950, P<0.001)。治疗后,两组凝血酶原时间、活化部分凝血活酶时间均延长,纤维蛋白原、D-二聚体水平均下降,且观察组凝血酶原时间、活化部分凝血活酶时间长于对照组,纤维蛋白原、D-二聚体水平低于对照组,差异有统计学意义(P<0.05)。观察组治疗效果及炎症因子水平均优于对照组,差异有统计学意义(P<0.05)。结论半夏白术天麻汤联合针灸治疗,能够有效改善脑卒中风痰阻络证患者的神经功能,对疾病症状的控制效果显著,可通过改变凝血功能,达到更好的治疗效果。
Objective To analyze the effect of Banxia Baizhu Tianma Decoction combined with acupuncture and moxi⁃bustion on wind-phlegm-blocked collaterals syndrome of stroke.Methods From January to December 2022,60 pa⁃tients with stroke(syndrome of wind-phlegm-blocked collaterals)were admitted to Department of Traditional Chinese Medicine Rehabilitation of Foshan Jianxiang Nursing Hospital as the research object.Randomly divided into groups,control group thirty cases received conventional treatment,observation group thirty cases combined with Banxia Bai⁃zhu Tianma Decoction and acupuncture treatment.The curative effect was compared.Results After treatment,the Na⁃tional Institutes of Health Stroke Scale score(9.0±2.2)points in the observation group was lower than that in the con⁃trol group(12.7±2.6)points,and the difference was statistically significant(t=5.950,P<0.001).After treatment,the prothrombin time and activated partial thromboplastin time of the two groups were prolonged,and the levels of fibrino⁃gen and D-dimer were decreased.The prothrombin time and activated partial thromboplastin time of the observation group were longer than those of the control group,and the levels of fibrinogen and D-dimer were lower than those of the control group,the differences were statistically significant(P<0.05).The therapeutic effect and the level of inflam⁃matory factors in the observation group were better than those in the control group,the differences were statistically significant(P<0.05).Conclusion Banxia Baizhu Tianma Decoction combined with acupuncture and moxibustion can effectively improve the nerve function of stroke patients with wind-phlegm-blocked collaterals syndrome,and has a remarkable control effect on disease symptoms. It can achieve better therapeutic effect through the change of coagulation function.
作者
胡洪平
卫晨琛
张康杰
HU Hongping;WEI Chenchen;ZHANG Kangjie(Department of Traditional Chinese Medicine Rehabilitation,Foshan Jianxiang Nursing Hospital,Foshan,Guangdong Province,528000 China)
出处
《系统医学》
2023年第13期11-14,共4页
Systems Medicine
关键词
脑卒中
风痰阻络证
半夏白术天麻汤
针灸
Stroke
Syndrome of wind-phlegm-blocked collaterals
Banxia Baizhu Tianma Decoction
Acupuncture and moxibustion
